ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
A client is to receive 250 mL of IV fluid over 90 minutes by gravity. The drop factor on the IV tubing is 20 gtts/mL. How many gtts/min should be administered?
Correct Answer: 56 gtts/min
Rationale: Calculate: (250 mL ÷ 90 min) × 20 gtt/mL = 55.55 gtts/min, rounded to 56 gtts/min.
Question 2 of 5
The nurse has established a goal to maintain intracranial pressure (ICP) within the normal range for a patient with an acute head injury. Which actions should the nurse take to achieve this goal?
Correct Answer: A,B,D
Rationale: Elevating the head of the bed aids venous drainage, serial assessments monitor ICP changes, and sedatives/pain medications reduce cerebral metabolic rate, all helping maintain normal ICP.
Question 3 of 5
A 78-year-old client is admitted to the Emergency Department with numbness and weakness of the right arm and slurred speech. Which nursing intervention is a priority?
Correct Answer: B
Rationale: A STAT CT scan differentiates ischemic from hemorrhagic stroke, guiding appropriate intervention.
Question 4 of 5
The nurse on the brain injury unit observes a patient who displays inappropriate sexual behavior. What would be the best response by the nurse?
Correct Answer: C
Rationale: Pointing out unacceptable behavior sets clear boundaries and educates the patient on appropriate conduct.
Question 5 of 5
The nurse is caring for a patient with epilepsy who has recently had a change in their prescribed medication combination. Which of the following options are priority to institute?
Correct Answer: C
Rationale: Suction equipment and oxygen are vital in epilepsy management to clear secretions and maintain oxygenation during seizures. Patent IV access allows rapid administration of emergency medications.